CPT code 95911: Nerve conduction study, 9-10 studies2026 Medicare rate & RVUs in California

Reports conventional nerve conduction testing when the examination includes nine or ten studies to evaluate suspected peripheral nerve dysfunction.

CMS RVU26DEffective Oct 1, 202629 payment localities162.5K Medicare services in 2024

Medicare pays $232.93–$287.32 for 95911 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$232.93–$287.32Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 95911 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 95911 covers

A physician or qualified clinician uses surface electrodes and electrical stimulation to measure how signals travel through peripheral nerves. The results can help assess conditions such as suspected carpal tunnel syndrome, ulnar neuropathy, or generalized peripheral neuropathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret these tests in office and hospital settings. The study may be part of an electrodiagnostic evaluation that also includes needle electromyography.

Select this code when the documented examination comprises nine or ten nerve conduction studies; the count is based on the studies performed, not the diagnosis or number of body regions evaluated. Keep a record of the nerves and tests performed, along with the findings and interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95911 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 payment localities

$232.93 to $287.32

$232.93$260.13$287.32
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

95911 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$233.34Unavailable
Chico, CA$232.93Unavailable
El Centro, CA$232.95Unavailable
Fresno, CA$232.93Unavailable
Hanford, CA$232.93Unavailable
Los Angeles, CA$247.09Unavailable
Madera, CA$232.93Unavailable
Marin County, CA$281.51Unavailable
Merced, CA$232.93Unavailable
Modesto, CA$232.93Unavailable

How the 95911 rate is calculated

Each of 95911’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95911

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.44

2.44 RVUs× 1.000 GPCI

Practice expense4.05

4.05 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

6.5900

Conversion factor

$33.4009

Medicare rate

$220.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 95911

The CMS indicators that decide how 95911 is paid alongside other services.

CMS payment indicators · 95911

Nerve conduction study, 9-10 studies

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95911 without 26 · national office

$220.11

Nerve conduction study, 9-10 studies

95911-26 · Professional component

$132.60

Pays only the interpretation and report.

When to use modifier 26

95911 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 95911

    Nerve conduction study, 9-10 studies2.44 wRVU

    $220.11

  • 95910

    Nerve conduction study, 7-8 studies1.95 wRVU

    $184.71−$35.40

  • 95912

    Nerve conduction study, 11–12 studies2.93 wRVU

    $254.85+$34.74

  • 95905

    Nerve conduction test, automated device, 1-2 studies0.05 wRVU

    $33.40−$186.71

  • 95886

    Needle EMG add-on, complete study, each extremity0.84 wRVU

    $99.87−$120.24

How to choose

95910Nerve conduction study7-8 studies
Use 95910 when the examination includes seven or eight nerve conduction studies; use 95911 for nine or ten.
95912Nerve conduction study11–12 studies
Use 95912 when the examination includes eleven or twelve nerve conduction studies; use 95911 for nine or ten.
95905Nerve conduction testAutomated device, 1-2 studies
95905 describes testing performed with an automated nerve conduction device. Code 95911 represents conventional testing selected by study count.
95886Needle EMG add-onComplete study, each extremity
95886 is for needle electromyography of an extremity. Code 95911 reports nerve conduction testing; both may be appropriate when both services are performed.

95911 billing questions

How is this code distinguished from 95910 or 95912?

Choose among these codes by the documented number of nerve conduction studies performed. This code is for nine or ten; 95910 is for seven or eight, and 95912 is for eleven or twelve.

Can needle EMG be reported with this service?

Yes, when needle electromyography is separately performed and documented as part of the electrodiagnostic evaluation. Nerve conduction testing and needle EMG describe different testing methods.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.

Is 95905 interchangeable with this code?

No. 95905 describes nerve conduction testing with an automated device, while 95911 represents conventional testing counted by the number of studies performed.

What documentation supports the study count?

Document the nerves and testing performed, the results, and the interpretation. The record should support that the examination included nine or ten studies.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95911PPRRVU2026_Oct_nonQPP.csv, line 12,642 (RVU26D)

Open CMS sourceHow we calculate rates

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